Acute abdominal pain accounts for approximately 9 of childhood primary care office visits symptoms and signs that increase the likelihood of a surgical cause for pain include fever bilious . Many medical conditions cause acute abdominal pain including diabetic ketoacidosis hypercalcemia addisons disease and sickle cell crisis other less common metabolic causes of acute abdominal pain include uremia lead poisoning methanol intoxication hereditary angioedema and porphyria. Acute abdominal pain is common in the pediatric population abdominal pain is usually associated with fever vomiting of bile bloody diarrhea rigidity and tenderness in the abdomen the etiology and differential diagnosis depend on the age of the child. The diagnosis and treatment of acute abdominal pain is a collaborative effort often starting in the emergency department ed over 50 of complaints presenting to the ed are related to acute pain with abdominal pain accounting for 7 of all ed visits 1 2 pain is now recognized as the fifth vital sign along with blood pressure pulse respiratory rate and temperature. How is the cause of acute abdominal pain diagnosed your healthcare provider will ask about your signs and symptoms tell the provider when your symptoms started and about any recent travel or surgery also tell him what makes the pain better or worse and what treatments you have tried the
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